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Cognition and Therapy-Reply

Anne D. Simons, PhD
Arch Gen Psychiatry. 1984;41(11):1114-1115. doi:10.1001/archpsyc.1983.01790220104021
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In Reply.—  Dr Beck has provided a useful commentary on some of the theoretical issues raised by our study of cognitive and affective changes in depressed outpatients who were treated with cognitive therapy and pharmacotherapy. While Dr Beck's views are fundamentally in agreement with ours, his letter may lead to some confusion regarding the compatibility of our views. Therefore, we will briefly reiterate our position on these issues before turning to particular points that may require further clarification.Dr Beck offered an "alternative" conceptualization of depression, and described it as a "unitary phenomenon that may be studied at various levels, using a variety of techniques." We fail to see how the essential features of our view differ from his. As stated in our report, we view depression as a complex of interrelated emotions, cognitions, behaviors, and physiological processes, a view most elegantly presented by Akiskal and McKinney1 almost one decade ago.

REFERENCES

Akiskal HS, McKinney WT:  Overview of recent research in depression: Integration of ten conceptual models into a comprehensive clinical frame . Arch Gen Psychiatry 1975;;32:285-305.
Simons AD, Murphy GE, Levine JL, Wetzel RD: Sustained improvement one year after cognitive and/or pharmacotherapy of depression. Read before the annual meeting of the American Psychiatric Association, Los Angeles, May, 1984.
Simons AD, Levine JL, Lustman PJ, Murphy GE:  Patient dropout from a comparative outcome study of depression: A follow-up study . J Affective Disord 1984;;6:163-173.
Simons AD, Lustman PJ, Wetzel RD, Murphy GE:  Prediction of response to cognitive therapy: The role of learned resourcefulness . Cognit Ther Res , in press.
Hollon SD, Kriss MR:  Cognitive factors in clinical research and practice . Clin Psychology Rev 1984;;4:35-76.
Rush AJ, Beck AT, Kovacs M, et al:  Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients . Cognit Ther Res 1977;;1:17-37.
Blackburn IM, Bishop S, Glenn ME, et al:  The efficacy of cognitive therapy in depression: A treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination . Br J Psychiatry 1981;;139:181-189.
Murphy GE, Simons AD, Wetzel RD, Lustman PJ:  Cognitive therapy and Pharmacotherapy, singly and together in the treatment of depression . Arch Gen Psychiatry 1984;;41:33-41.
Teasdale JD, Fennell MJV, Hibbert GA, Amies PL:  Cognitive therapy for major depressive disorder in primary care . Br J Psychiatry 1984;;144:400-406.

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Akiskal HS, McKinney WT:  Overview of recent research in depression: Integration of ten conceptual models into a comprehensive clinical frame . Arch Gen Psychiatry 1975;;32:285-305.
Simons AD, Murphy GE, Levine JL, Wetzel RD: Sustained improvement one year after cognitive and/or pharmacotherapy of depression. Read before the annual meeting of the American Psychiatric Association, Los Angeles, May, 1984.
Simons AD, Levine JL, Lustman PJ, Murphy GE:  Patient dropout from a comparative outcome study of depression: A follow-up study . J Affective Disord 1984;;6:163-173.
Simons AD, Lustman PJ, Wetzel RD, Murphy GE:  Prediction of response to cognitive therapy: The role of learned resourcefulness . Cognit Ther Res , in press.
Hollon SD, Kriss MR:  Cognitive factors in clinical research and practice . Clin Psychology Rev 1984;;4:35-76.
Rush AJ, Beck AT, Kovacs M, et al:  Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients . Cognit Ther Res 1977;;1:17-37.
Blackburn IM, Bishop S, Glenn ME, et al:  The efficacy of cognitive therapy in depression: A treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination . Br J Psychiatry 1981;;139:181-189.
Murphy GE, Simons AD, Wetzel RD, Lustman PJ:  Cognitive therapy and Pharmacotherapy, singly and together in the treatment of depression . Arch Gen Psychiatry 1984;;41:33-41.
Teasdale JD, Fennell MJV, Hibbert GA, Amies PL:  Cognitive therapy for major depressive disorder in primary care . Br J Psychiatry 1984;;144:400-406.

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